Credentialing & Payor Enrollment Analyst

Sprinter Health

Menlo Park (CA)

Hybrid

USD 68,000 - 83,000

Full time

3 days ago
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Benefits offered by this job

Fully remote work environment
Medical, dental, vision plans
Flexible PTO + holidays
401(k) with company match
Parental leave
HSA + FSA contributions
Life insurance & disability

Job summary

Sprinter Health is seeking a Credentialing & Payor Enrollment Analyst to support onboarding and readiness of healthcare providers. You will own end-to-end credentialing, licensing, and payor enrollment workflows, ensuring providers are credentialed, licensed, and enrolled to enable timely reimbursement.

The ideal candidate thrives in a startup or high-growth environment, demonstrates operational discipline, and communicates clearly.

Qualifications

  • 5+ years in healthcare credentialing, licensing, and payor enrollment.
  • Experience with creating and maintaining CAQH accounts.
  • Strong attention to detail and ability to manage complex, document-heavy workflows.
  • Experience in a startup, growth-stage, or fast-paced healthcare environment.

Responsibilities

  • Own end-to-end provider onboarding, from offer to readiness to practice and recredentialing of legacy providers.
  • Collect, review, and verify education, training, work history, certifications, and malpractice coverage.

Skills

Credentialing
Licensing
Payor enrollment
Multistate operations
Attention to detail
Startup environment

Tools

CAQH accounts

Job description

About Sprinter Health:

At Sprinter Health, our mission is reimagining how people access care by bringing it directly to their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they cannot get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year.

By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed 130,000+ in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway.

Overview

We are seeking a highly organized, detail-oriented Credentialing & Payor Enrollment Analyst to support the onboarding and readiness of healthcare providers in a fast-growing organization. This role is critical to ensuring providers are properly credentialed, licensed, and enrolled with payors so they can deliver care and be reimbursed without delay.

The ideal candidate thrives in a startup or high-growth environment, brings strong operational discipline to complex regulatory work, and communicates clearly and in a structured manner. You’ll own end-to-end workflows across credentialing, licensing, and payor enrollment, while helping build scalable processes that support rapid growth.

What You Will Do

Provider Onboarding & Credentialing

  • Own the end-to-end onboarding of new providers, from offer acceptance through readiness to practice, and the recredentialing of legacy providers to maintain compliance and continued practice

  • Collect, review, and verify documentation, including education, training, work history, certifications, and malpractice coverage

  • Prepare and submit enrollment applications to payors and other required entities

  • Track application status, follow up proactively, and resolve deficiencies to prevent onboarding delays

Licensing & Regulatory Compliance

  • Prepare, submit, and track initial and renewal state license applications across multiple jurisdictions

  • Maintain up-to-date knowledge of state-specific licensing requirements and timelines

  • Monitor license expirations, renewals, and compliance deadlines to ensure uninterrupted provider eligibility

  • Communicate with state boards and regulatory agencies to address questions, requests, or discrepancies

Payor Enrollment

  • Submit new payor enrollment and re-enrollment applications with commercial, Medicare, and Medicaid payors

  • Complete and submit payor‑specific forms, attestations, and updates related to provider status changes

  • Prepare and submit payor rosters in accordance with payor requirements and timelines

  • Track enrollment progress and elevate risks that may impact billing or reimbursement

Process Ownership & Communication

  • Maintain accurate, organized credentialing, licensing, and enrollment records in internal systems

  • Communicate timelines, status updates, and risks clearly to internal stakeholders and providers

  • Use structured workflows, checklists, and documentation standards to manage high‑volume work

  • Identify inefficiencies or recurring issues and recommend process improvements to support scale

What We’re Looking For

Required Qualifications

  • 5+ years of experience in healthcare credentialing, licensing, and payor enrollment, including multistate operations

  • Experience with creating and maintaining CAQH accounts

  • Strong attention to detail and proven ability to manage complex, document-heavy workflows

  • Excellent organizational and time-management skills with the ability to manage multiple providers and deadlines

  • Clear, structured written and verbal communication skills

  • Experience working in a startup, growth-stage, or fast-paced healthcare environment

Preferred Qualifications

  • Experience in credentialing and enrolling advanced practice providers and/or physicians

  • Familiarity with commercial, Medicare, and Medicaid payors

  • Experience supporting provider onboarding at scale or in high-growth organizations

  • Experience with credentialing and enrollment platforms, payer portals, or compliance tracking tools

How You Work

  • You take ownership and see work through from start to finish

  • You’re proactive about identifying risks and solving problems before they escalation

  • You’re comfortable building structure where processes are still evolving

  • You balance speed with accuracy and understand when each matters most

  • You communicate clearly, professionally, and consistently

Why This Role Matters

This role enables providers to deliver care and ensures the organization can bill and receive reimbursement without disruption. Your work will directly impact provider experience, operational efficiency, and the company’s ability to scale responsibly.

What We Offer
  • $75,000 annual salary

  • Fully remote work environment

  • Medical, dental, and vision plans 100% paid for you and your dependents

  • Flexible PTO + 11 paid holidays per year

  • 401(k) with company match

  • 16-week parental leave policy for birthing parent, 8 weeks for all other parents

  • HSA + FSA contributions

  • Life insurance, plus short and long-term disability coverage

Sprinter Health is an equal opportunity employer. We value diversity at our company and do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected class.

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